Ochoa Cristian, Casellas-Grau Anna, Vives Jaume, Font Antoni, Borràs Josep-Maria
Institut Català d'Oncologia, Barcelona, Spain.
Universitat de Barcelona, Barcelona, Spain.
Int J Clin Health Psychol. 2017 Jan-Apr;17(1):28-37. doi: 10.1016/j.ijchp.2016.09.002. Epub 2016 Oct 18.
There is increasing evidence that positive life changes, such as posttraumatic growth (PTG), can result from the experience of coping with cancer. However, no interventions have been specifically designed to facilitate the development of PTG in cancer. In this article, we describe and assess the results of Positive Psychotherapy for Cancer (PPC) survivors. It aims to facilitate PTG as a way of achieving significant reductions in the symptoms of emotional distress and posttraumatic stress. In addition, the corroboration of this PTG facilitation is assessed using interpersonal indicators. We allocated 126 consecutive survivors of cancer with high levels of emotional distress and who were seeking psychological support to either an experimental group (PPC) or a waiting list group. The PPC group obtained significantly better results after treatment than the control group, showing reduced distress, decreased posttraumatic symptoms, and increased PTG. The benefits were maintained at 3 and 12 months' follow-up. Participants' PTG was correlated to the PTG that their significant others attributed to them, corroborating PTG facilitation. PPC appears to promote significant long-term PTG and can reduce emotional distress and posttraumatic stress in cancer survivors. In addition, PTG facilitation induced by PPC is corroborated by significant others.
越来越多的证据表明,积极的生活变化,如创伤后成长(PTG),可能源于应对癌症的经历。然而,尚未有专门设计的干预措施来促进癌症患者的PTG发展。在本文中,我们描述并评估了癌症积极心理治疗(PPC)对幸存者的治疗结果。其目的是促进PTG,以此显著减轻情绪困扰和创伤后应激症状。此外,使用人际指标评估这种PTG促进作用的佐证情况。我们将126名情绪困扰程度高且寻求心理支持的癌症连续幸存者分配到实验组(PPC)或等待名单组。PPC组治疗后的结果明显优于对照组,表现为困扰减轻、创伤后症状减少以及PTG增加。这些益处维持到3个月和12个月的随访期。参与者的PTG与他们重要他人归因于他们的PTG相关,证实了PTG促进作用。PPC似乎能促进显著的长期PTG,并可减轻癌症幸存者的情绪困扰和创伤后应激。此外,PPC诱导的PTG促进作用得到了重要他人的佐证。